What are the effects of removing part of the spleen on the body? Are there any sequelae?

The spleen is the largest immune organ in the human body, but there are many immune organs in the human body, and surgical removal of the spleen is preferred for healthy people due to the rupture of spleen injury caused by trauma, otherwise it is life-threatening and has no obvious impact on the human body, but it will leave scars, and there may be pain and discomfort, which varies from person to person.

The spleen is hematopoietic, and there must be sequelae, so it is better not to be too old and tired in the future, and it is best not to do too heavy work, and pay more attention to your mood, and your mood is also very important.

Something missing on your body does have an impact, how could it not be! Especially the organs, if you don't have that, you can't exert force.

The spleen is located deep in the left side of the abdomen, and it is generally necessary to know if there is a decline in immune function after removal. The spleen is also considered to be an immune organ, and although this function may decline in adulthood, it still has the function of storing blood and regulating immunity. Splenectomy is mainly to prevent the possibility of outbreaks, so some changes need to be closely observed.

Splenectomy is usually done after trauma.

The spleen is an important lymphatic organ, located in the upper left part of the abdominal cavity, which is oblate-oval, dark red, soft and brittle, and the local area is prone to rupture and bleeding when hit by violence. The spleen is located between the fundus and the diaphragm in the left hypochondrium, opposite the 9th to 11th ribs, and its long axis is consistent with the 10th rib. Normally, the inferior edge of the left costal arch is not palpable.

The spleen is divided into two sides, the inner and outer sides, the upper and lower margins, and the anterior and posterior ends.

The inner depression is adjacent to the fundus of the stomach, the left kidney, the left adrenal gland, the tail of the pancreas, and the left curvature of the colon, which is called the visceral surface. There is a groove near the visceral surface, which is the place where nerves and blood vessels enter and exit, which is called the splenic hilum. The outside is smooth and convex opposite the diaphragm and is called the diaphragm.

There are 2-3 notches in the anterior part of the upper margin, called splenic notch. In splenomegaly, the presence of a splenic notch can be used as a landmark on palpation. In the vicinity of the spleen, in the gastrosplenic ligament and omentum, dark red, of varying size, and number of accessory spleens are often seen.

When splenectomy is performed due to hypersplenism, the accessory spleen should be removed as well.

The spleen belongs to the reticulodermal system, which is the largest lymphatic organ in the human body, and its structure is basically similar to that of lymph nodes, consisting of the capsule, trabecular and lymphoid tissue. It differs from lymph nodes in that there are no lymph sinuses, but there are a large number of blood sinuses in them.

The spleen belongs to the reticulodermal system, located in the upper left part of the abdominal cavity, dark red, soft and brittle, and is prone to rupture and bleeding when the local area is violently hit.

The spleen is an important hematopoietic organ during the embryonic stage, producing lymphocytes and monocytes after birth. Macrophages in the spleen engulf senescent red blood cells, platelets, and degenerated white blood cells. It can also engulf bacteria, protozoa, and foreign bodies in the blood.

The spleen is rich in blood sinuses, which can store a certain amount (about 200 ml) of blood, and when the body exercises vigorously or climbs a mountain or suddenly loses blood, the smooth muscles of the spleen contract and release blood to replenish the body's needs. The lymphocytes in the spleen also make antibodies.

A normal spleen is usually not palpable, and palpable under the left costal margin indicates splenomegaly.

There are many causes of splenomegaly, such as schistosomiasis, chronic hepatitis, kala-azar, typhoid, malaria, portal hypertension, leukemia, malignant lymphoma, systemic lupus erythematosus, etc. An enlarged spleen can cause hypersplenism, which reduces blood cells and platelets in the blood.

Splenomegaly is generally performed, and if it is caused by hypersplenism or portal hypertension, surgical resection can be considered.

The impact of splenectomy on future life is not too great, and the following should be noted after splenectomy:

1. Pay special attention to rest within half a year after surgery, avoid fatigue and emotional agitation, and maintain a comfortable mood.

2. Eat easily digestible foods, vitamin-rich fresh vegetables and fruits, and moderate amounts of protein foods.

3. Pay attention to food hygiene. Keep your stools normal and smooth to avoid intestinal infections.

4. Go to the hospital for re-examination in time, including liver function. Liver function should be checked once a month for six months after surgery, and once every three months if it continues to be normal. It is also necessary to pay attention to the ultrasound of the liver, if the liver function continues to be normal, no medication is necessary.

If the liver function is abnormal, the doctor should treat the symptoms according to the liver function. Do not use drugs or supplements indiscriminately.

The spleen is the largest lymphatic organ in the human body, and removal may have an impact on the body's immunity and hematopoiesis. Therefore, we should pay attention to nutrition in our diet. Be sure to pay attention to your usual healthy life! Be careful not to do strenuous exercise for long periods of time!

After splenectomy, the immune response is impaired, the immunoglobulin and complement function is insufficient, which affects the opsonization effect, causes macrophages and multinucleated leukocytes to move slowly, and weakens the phagocytosis of pneumococcus.

In 1952, a foreign doctor (King et al) proposed the risk of overwhelming post-splenectomy infection (OPSI) after splenectomy. It has led to a new understanding of the physiological function of the spleen, especially the immune function.

It is now well established that the spleen is an organ with important functions in the human body and cannot be removed casually, especially in immunosuppressed organ transplant patients, that is, if you want to get a liver transplant caused by worsening liver disease, it is not suitable to remove the spleen. Therefore, most doctors list the removal of the spleen as the last option.

To put it simply, the spleen has the functions of storing blood, regulating the pressure of the portal system, and many substances in the blood are processed through the spleen. In other words, the spleen is also a filter of the whole body's blood, which can remove pathogens mixed into the blood and its own decaying cells; The spleen is also an important base for various immune cells to live, proliferate, and respond to immune effects and produce immune effector substances (such as antibodies, etc.). The spleen also produces immunoactive cells, such as macrophages, T cells, etc., to exert immune functions. T cells have an immune effect on tumor cells, and the spleen is the only organ that produces T cells, so tumors are very likely to develop after spleen resection.

After splenectomy, the body's immunity will definitely decline, and it is relatively easy to develop secondary infections, such as respiratory tract infections, intestinal infections, etc., so after splenectomy, it is necessary to pay attention to strengthening the prevention of infection, including keeping warm, eating hygiene, personal hygiene, appropriate exercise, etc. However, the spleen is not the only immune organ, after a period of adjustment, the body's immunity can be restored to a certain extent, and part of its immune function will be replaced by other immune organs.